Rehabilitation and Therapy Commons^™

Dynamic Body-Weight Support To Boost Rehabilitation Outcomes In Patients With Non-Traumatic Spinal Cord Injury: An Observational Study, Justin P. Huber, Lumy Sawaki

Neurology Faculty Publications

BACKGROUND: Dynamic body-weight support (DBWS) may play an important role in rehabilitation outcomes, but the potential benefit among disease-specific populations is unclear. In this study, we hypothesize that overground therapy with DBWS during inpatient rehabilitation yields greater functional improvement than standard-of-care in adults with non-traumatic spinal cord injury (NT-SCI).

METHODS: This retrospective cohort study included individuals diagnosed with NT-SCI and undergoing inpatient rehabilitation. All participants were recruited at a freestanding inpatient rehabilitation hospital. Individuals who trained with DBWS for at least three sessions were allocated to the experimental group. Participants in the historical control group received standard-of-care (i.e., no DBWS). …

Interactive Sonification To Assist Children With Autism During Motor Therapeutic Interventions, Franceli L. Cibrian, Judith Ley-Flores, Joseph W. Newbold, Aneesha Singh, Nadia Bianchi-Berthouze, Monica Tentori

Engineering Faculty Articles and Research

Interactive sonification is an effective tool used to guide individuals when practicing movements. Little research has shown the use of interactive sonification in supporting motor therapeutic interventions for children with autism who exhibit motor impairments. The goal of this research is to study if children with autism understand the use of interactive sonification during motor therapeutic interventions, its potential impact of interactive sonification in the development of motor skills in children with autism, and the feasibility of using it in specialized schools for children with autism. We conducted two deployment studies in Mexico using Go-with-the-Flow, a framework to sonify movements …

Development, Implementation And Outcomes Of A Quality Assurance System For The Provision Of Continuous Renal Replacement Therapy In The Intensive Care Unit, Eloy F. Ruiz, Victor M. Ortiz-Soriano, Monica Talbott, Bryan A. Klein, Melissa L. Thompson Bastin, Kirby P. Mayer, Emily B. Price, Robert Dorfman, Brandi N. Adams, Lisa J. Fryman, Javier A. Neyra, The University Of Kentucky Crrt Quality Assurance Group

Physical Therapy Faculty Publications

Critically ill patients with requirement of continuous renal replacement therapy (CRRT) represent a growing intensive care unit (ICU) population. Optimal CRRT delivery demands continuous communication between stakeholders, iterative adjustment of therapy, and quality assurance systems. This Quality Improvement (QI) study reports the development, implementation and outcomes of a quality assurance system to support the provision of CRRT in the ICU. This study was carried out at the University of Kentucky Medical Center between September 2016 and June 2019. We implemented a quality assurance system using a step-wise approach based on the (a) assembly of a multidisciplinary team, (b) standardization of …

Recording Of Endoscopy And Fluoroscopy Of The Vocal Tract With Sound (Or Its Absence): A Disappointment, Robert J Shprintzen, Pablo Antonio Ysunza

Articles

There is an old say: “The devil knows more for being old than for being the devil”. One of the advantages of being old and observing clinical practice and clinical research advance is that successful procedures and methods can be selected and put into practice. Indeed, it is possible to define when practices we thought could be used by our peers simply by being reported in the literature have proven to be doubtful hopes that leave us trying to find out what went wrong. Such is the case with imaging procedures of the vocal tract during speech tasks.

Groveport Rec Center: Covid-19 Vs. Exercise, Ciara Masterson

Masters Theses/Capstone Projects

Groveport Rec Center: Covid-19 vs. Exercise

Reducing Catheter-Associated Urinary Tract Infection Project, Beatriz Agado

Student Scholarly Projects

Practice Problem: Catheter-associated urinary tract infections (CAUTIs) are prevalent and responsible for an estimated 13,000 deaths annually in the United States. Reported cases of CAUTIs remain disproportionately high at a rehabilitation center located in South Texas.

PICOT: This evidence-based project answered the following question: In rehabilitation patients, what is the effect of a nurse-driven protocol (NDP) CAUTI bundle on the number of indwelling urinary catheter-related infections, compared to the current practice, over a 12-week time period?

Evidence: Twenty high-quality studies that met the inclusion and exclusion criteria recommended using an NDP CAUTI bundle, education, and champions to …

Effects Of Visual Referencing On Backward And Forward Treadmill Walking In Vr Environments, Rahul Soangra, Sivakumar Rajagopal

Physical Therapy Faculty Articles and Research

Backward walking is used increasingly as a rehabilitation exercise for stroke and diabetic peripheral neuropathy patients to improve strength and balance. However, it is unclear how visual referencing affects backward and forward walking. In this study, we evaluated spatiotemporal gait characteristics changes due to visual referencing while backward/forward walking. Sixteen healthy young participants were recruited in this study. All participants walked for 2 min with and without visual referencing in the virtual reality environment. While walking backward participants faced the virtual reality screen similar to forward walking, but their treadmill belt direction of movement was reversed. All participants walked at …

Master's Degrees With A Mission

Scientia

DePaul's College of Science and Health has added three new master's degree programs: community psychology, speech-language pathology and occupational therapy. The directors of these programs discuss particulars of each field and what study entails.

Utilising Co-Design To Improve Outpatient Neurological Care In A Rural Setting, Andrew J. Butler, Sarah J. Prior, Sajina Mathew, David Carter, Brad F. Ellem

Patient Experience Journal

It has been identified that the physiotherapy needs of patients with central neurological conditions are specific and that this cohort are generally under-serviced in rural and remote areas in Australia. A quality improvement project was undertaken to improve patient experience in outpatient physiotherapy services in Tasmania, facilitating increased self-efficacy and quality of life, in patients with central chronic neurological conditions.. An experience-based co-design approach was utilised, involving past and current patients as well as physiotherapy staff in the project design, data collection, analysis and evaluation phases. The results suggest that timely access to care and goal achievement are common areas …

Patient Reported Experience Of Inpatient Rehabilitation In Australia, Jacquelin T. Capell, Tara Alexander, Julie Pryor, Murray Fisher

Patient Experience Journal

While the value of patient reported experience is increasingly acknowledged, the measurement of rehabilitation-specific patient reported experiences is an area that is yet to attract a lot of attention. The aim of this study was to examine the patient-reported experience of person-centred inpatient rehabilitation. The study consisted of a multi-site cross sectional survey using the 33-item modified Client Centred Rehabilitation Questionnaire (CCRQ). A total of 408 participants were recruited from 20 inpatient rehabilitation facilities across Australia. Participants were in the final days of their inpatient rehabilitation episode when approached to complete the paper based modified CCRQ. Nineteen of the 33 …

Development, Reliability And Validity Of The Safe Use Of Mobility Aids Checklist (Sumac) For 4-Wheeled Walker Use In People Living With Dementia., Susan W. Hunter, Alison Divine, Humberto Omana, Ed Madou, Jeffrey Holmes

Physical Therapy Publications

BACKGROUND: Balance and gait problems are common and progressive in dementia. Use of a mobility aid provides physical support and confidence. Yet, mobility aid use in people with dementia increases falls three-fold. An assessment tool of mobility aid safety in people with dementia does not currently exist. The objectives of this study were: 1) to develop a tool for the evaluation of physical function and safe use of a 4-wheeled walker in people with dementia, and 2) to evaluate its construct and criterion validity, inter-rater and test-retest reliability and minimal detectable change.

METHODS: Healthcare professionals (HCP) experienced in rehabilitation of …

Proposing A New Algorithm For Premanipulative Testing In Physical Therapy Practice, Brent Harper, Daniel Miner, Harrison Vaughan

Physical Therapy Faculty Articles and Research

In the field of physical therapy, there is debate as to the clinical utility of premanipulative vascular assessments. Cervical artery dysfunction (CAD) risk assessment involves a multi-system approach to differentiate between spontaneous versus mechanical events. The purposes of this inductive analysis of the literature are to discuss the link between cervical spine manipulation (CSM) and CAD, to examine the literature on premanipulative vascular tests, and to suggest an optimal sequence of premanipulative testing based on the differentiation of a spontaneous versus mechanical vascular event. Knowing what premanipulative vascular tests assess and the associated clinical application facilitates an evidence-informed decision for …

An Analysis Of Graston Technique® For Soft-Tissue Therapy, James M. Mckivigan, Gina Tulimero

College of Health & Human Services (TUN) Publications and Research

The Graston Technique® of Soft-Tissue Therapy (GT), also known as instrument-assisted soft tissue mobilization (IASTM), is used by chiropractors, physicians, and therapists to manage pain and range-of-motion limitations caused by scar tissue and musculoskeletal injuries. The GT treats tissue injuries and pain by separating scar tissue and producing heat, which increases blood flow to the areas affected by pain or trauma. This paper provides a systematic review of the research published on the GT, focusing on its efficacy and patient outcomes. It introduces and explains the GT and provides a detailed description of the therapeutic procedures used to alleviate pain …

From The Editors, Natasha Menard, Kelsie Fournier

Student Journal of Occupational Therapy

This welcome letter from the editors of the Student Journal of Occupational Therapy introduces the inaugural issue of the journal and outlines its mission to engage student researchers at all levels of the research publication process and its commitment to ethical, open-access publication.

The Relationship Between Standing For Long Times And Appearance Of Varicose Vein Among Barber In Northern Districts / West Bank, Ziad Nasrallah

Journal of the Arab American University مجلة الجامعة العربية الامريكية للبحوث

The aim of this study was to identify the relationship between standing for long time and physical ap-pearance of varicose vein among barbers, as well as the medical problems associated with long standing. A descriptive analytical design was used to test many demographic variables, namely age, weight, height, period of activity, and daily hours of standing. This was done with the help of a questionnaire that in-volved four domains with 32 questions. The samples included 195 barbers chosen from different cities (Jenin, Nablus and Tollkaram) in Northern West bank. We found that those who stand for long time are 75 …

A Critical Review Of The Abductor Pollicis Longus Electromyographic Activity, Hisham Arabkabeya

Journal of the Arab American University مجلة الجامعة العربية الامريكية للبحوث

The aim of this study was to review the current evidence of the abductor pollicis longus electromyographic activity during thumb movements. The author performed an electronic thorough search for EMBASE, MEDLINE, CINAHL, and Web of Knowledge articles. Nine pieces in particular were found to explore the electromyographic activity of the abductor pollicis longus during thumb functional and non-functional movements. Consistent results were noticed, all emphasizing the key role of abductor pollicis longus in stabilizing the thumb's carpometacarpal joint. All target studies provided useful information about the abductor pollicis longus electromyographic activity. However, none of them examined the relationship between abductor …

Acute Skeletal Muscle Wasting And Dysfunction Predict Physical Disability At Hospital Discharge In Patients With Critical Illness, Kirby P. Mayer, Melissa L. Thompson Bastin, Ashley A. Montgomery-Yates, Amy M. Pastva, Esther E. Dupont-Versteegden, Selina M. Parry, Peter E. Morris

Physical Therapy Faculty Publications

BACKGROUND: Patients surviving critical illness develop muscle weakness and impairments in physical function; however, the relationship between early skeletal muscle alterations and physical function at hospital discharge remains unclear. The primary purpose of this study was to determine whether changes in muscle size, strength and power assessed in the intensive care unit (ICU) predict physical function at hospital discharge.

METHODS: Study design is a single-center, prospective, observational study in patients admitted to the medicine or cardiothoracic ICU with diagnosis of sepsis or acute respiratory failure. Rectus femoris (RF) and tibialis anterior (TA) muscle ultrasound images were obtained day one of …

Participant Retention In Trauma Intensive Care Unit (Icu) Follow-Up Studies: A Post-Hoc Analysis Of A Previous Scoping Review, Himanshu Rawal, Daniel L. Young, Roozbeh Nikooie, Awsse H. Al Ani, Lisa Aronson Friedman, Sumana Vasishta, Elliott R. Haut, Elizabeth Colantuoni, Dale M. Needham, Victor D. Dinglas

Physical Therapy Faculty Research

Background The study aimed to synthesize participant retention-related data for longitudinal follow-up studies of survivors from trauma intensive care units (ICUs). Methods Within a published scoping review evaluating ICU patient outcomes after hospital discharge, two screeners independently searched for trauma ICU survivorship studies. Results There were 11 trauma ICU follow-up studies, all of which were cohort studies. Twelve months (range: 1-60 months) was the most frequent follow-up time point for assessment (63% of studies). Retention rates ranged from 54% to 94% across time points and could not be calculated for two studies (18%). Pooled retention rates at 3, 6, and …

In The Pursuit Of Assistance: A Team's Desire To Not Let A Congenital Amputation Get In A Young Boy's Way, Carl Russell Iii, Gavin Loucks, Kirsten Wozniak

Purdue Journal of Service-Learning and International Engagement

EPICS is a service-learning design program run through Purdue University. It strives to teach students design skills through providing for individuals, communities, and organizations in the surrounding area while mirroring engineering industry standards. BME (Biomedical Engineering) is a team within EPICS that strives to serve community partners through biomedical applications. William Sevick is an elementary school student with a congenital arm amputation. William and his family have been working with the BME team for the past three years designing assistive devices with the purpose of improving his actions in daily life such as eating, playing games, and riding his bike.

Developing A Computer-Controlled Treat Dispenser For Canine Operant Conditioning, Walker Arce, Jeffrey R. Stevens

Center for Brain, Biology, and Behavior: Faculty Publications

When performing canine operant conditioning studies, the delivery of the reward can be a limiting factor of the study. While there are a few commercially available options for automatically delivering rewards, they generally require manual input, such as using a remote control, in accordance with the experiment script. This means that human reaction times and transmission distances can cause interruptions to the flow of the experiment. The potential for development of non-supervised conditioning studies is limited by this same factor. To remedy this, we retrofitted an off-the-shelf treat dispenser with new electronics that allow it to be remotely controllable as …

Quels Sont Les Déterminants Du Retour Au Travail Durable Des Travailleurs Seniors Ayant Subi Une Lésion Psychologique Ou Physique?, Alessia Negrini, Marc Corbière, Jessica Dubé, Andrea Gragnano, Marc-Antoine Busque, Martin Lebeau, Margherita Brondino, Samantha Vila Masse

Rapports de recherche scientifique

Le vieillissement de la population est un thème complexe et sensible qui concerne plusieurs acteurs et sphères de la société (emploi, santé, finances). Cette étude porte sur le retour au travail durable[1] après une lésion de nature psychologique (LÉS_PSY; p. ex. : dépression) ou physique (LÉS_PHY; p. ex. : troubles musculosquelettiques) chez les travailleurs « seniors » âgés de 45 ans et plus. Au Québec, l’analyse des données de la Commission des normes, de l'équité, de la santé et de la sécurité du travail (CNESST) de 2013 à 2015 a permis de constater que le groupe de travailleurs âgés …

Presence And Distress Of Chemotherapy-Induced Peripheral Neuropathy Symptoms In Upper Extremities Of Younger And Older Breast Cancer Survivors, Susan Storey, Andrea Cohee, Diane Von Ah, Eric Vachon, Noah R. Zanville, Patrick O. Monahan, Timothy E. Stump, Victoria L. Champion

Journal of Patient-Centered Research and Reviews

Purpose: The purposes of this study were to determine whether the presence of upper extremity chemotherapy-induced peripheral neuropathy (CIPN) symptoms (burning, pins/needles, numbness, pain, and skin crawls) among breast cancer survivors (BCS) varied according to age (≤45 years or 55–70 years) and to examine age group differences in upper extremity CIPN symptom distress.

Methods: The study was a secondary analysis of younger (n = 505) and older (n = 622) BCS. Inclusion criteria were age of ≤45 years or 55–70 years; patient at 3–8 years postdiagnosis; patient received the chemotherapy regimen of paclitaxel, doxorubicin, and cyclophosphamide; and patient did not …

Gains Across Who Dimensions Of Function After Robot-Based Therapy In Stroke Subjects, Jennifer Wu, Lucy Dodakian, Jill See, Erin Burke Quinlan, Lisa Meng, Jeby Abraham, Ellen C. Wong, Vu Le, Alison Mckenzie, Steven C. Cramer

Physical Therapy Faculty Articles and Research

Background

Studies examining the effects of therapeutic interventions after stroke often focus on changes in loss of body function/structure (impairment). However, improvements in activities limitations and participation restriction are often higher patient priorities, and the relationship that these measures have with loss of body function/structure is unclear.

Objective

This study measured gains across WHO International Classification of Function (ICF) dimensions and examined their interrelationships.

Methods

Subjects were recruited 11 to 26 weeks after hemiparetic stroke. Over a 3-week period, subjects received 12 sessions of intensive robot-based therapy targeting the distal arm. Each subject was assessed at baseline and at 1 …

An Exploration Of Mosston’S Spectrum Of Teaching Styles In Athletic Training Education., Dominique M. Ross, Aimee M. Pascale

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Athletic training educators teach in didactic, laboratory and clinical settings, all requiring an array of pedagogical strategies to effectively instruct students. Mosston’s Spectrum of Teaching Styles is a theoretical framework to support pedagogical decision making in physical education. The purpose of the commentary is to examine teaching styles from Mosston’s Spectrum in the context of athletic training education. A general introduction, review of comparative literature and practical application to athletic training education is provided for each of the eleven teaching styles. The examination and application of educational theory from other disciplines may provide athletic training educators additional resources to enhance …

Force And Emg Comparison Between A Weight-Bearing Clinical Assessment Of Hip Strength Assessment And Non-Weightbearing Tasks, Kemery J. Sigmund, Jennifer E. Earl-Boehm

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Purpose: Altered hip strength is a risk factor for lower extremity injury but its relationship to biomechanical dysfunction is debated. Hip strength assessment methods are criticized for using unidirectional, non-weight-bearing positions which may not be representative of athletic activity and may affect comparison to biomechanical analysis of athletic tasks. A weight-bearing task may better represent hip muscle function during these movements. The aim of this study was to identify EMG and force differences for a clinical weight-bearing method of hip strength (the squat-hold) to traditional non-weight-bearing maximal voluntary isometric contractions (MVICs) for hip abduction, extension, and external rotation. Methods: Twenty-nine …

Effect Of Age At Menarche On Anterior Cruciate Ligament Injury Incidence And Anterior Knee Laxity In Collegiate Athletes, Andrew W. Froehle, Joseph T. Cox, Jedediah H. May, Kimberly A. Grannis, Dana L. Duren

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Female athletes suffer painful, costly, and career-limiting non-contact anterior cruciate ligament (ACL) injuries more often than males. Previous research suggests that pubertal neuromusculoskeletal development contributes to this sex-bias, but the manner in which variation in pubertal development affects injury risk within females is poorly understood. Age at menarche is a variable, significant pubertal developmental event, signaling the onset of estrogen cycling and affecting musculoskeletal development. Earlier menarche may increase injury risk, possibly by increasing anterior knee laxity through prolonged estrogen exposure. The purpose of this case-control study was to test the primary hypothesis that collegiate athletes with previous ACL injuries …

Adolescent Perceptions Of Injury And Pressures Of Returning To Sport: A Retrospective Qualitative Analysis, Jordan J. West, Zachary K. Winkelmann, Jessica Edler, Bradley C. Jackson, Lindsey E. Eberman

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

The increase in sport participation among adolescents has led to the rise in sport-related injuries, many of which have unique characteristics based on the patient, their perceptions, and the pressures faced when returning to sport. The purpose of this study was to identify the underlying factors that contributed to adolescents’ perceptions of injury and the various pressures they experienced when returning to sport. Two themes emerged from the study: support and fear. Support was provided to participants through development, care, and the environment. Fear was the factor that affected the participant in their return to sport, which came in the …

Recurrent Patellar Fracture In A Healthy Collegiate Basketball Player: An Exploration Clinical Case Report, Mikaela Boham, Jerry Hilker

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Recurrent Patellar Fracture in a Healthy Collegiate Basketball Player: An Exploration Clinical Case Report

ABSTRACT

Purpose: Patellar fractures only account for approximately 1% of all skeletal injuries. Patellar fractures usually result from direct trauma (i.e. falling on the knee, dashboard injury, etc.), or, less frequently, occur as a combination of direct and indirect mechanism (i.e. receiving a direct blow while contracting the quadriceps). While indirect trauma is the least common mechanism, it usually occurs due to an extensor mechanism failure during eccentric loading such as landing. Method: Case report, Level 3: Exploration Clinical Contribution to the Available Sources of Evidence …

Healing The Mind And Soul With Art And Music, Jennifer K. Fortuna

The Open Journal of Occupational Therapy

Gracie Fisher, an artist and composer based in Santa Barbara, California, provided the cover art for the Fall 2020 edition of The Open Journal of Occupational Therapy (OJOT). “The Fruit of Spirit” is a 16” x 20” oil painting on canvas. When a rare neurologic condition left Gracie paralyzed from the neck down, art and music helped to heal her mind and soul. Upon returning home from the hospital, Gracie’s wish was to create an inclusive environment where children of all abilities could engage in art and music. She founded the Grace Fisher Foundation so others could experience the healing …

Toward A Defined Role For Occupational Therapy In Foster Care Transition Programming, Amy Armstrong-Heimsoth, Molly Hahn-Floyd, Heather J. Williamson, Catherine Lockmiller

The Open Journal of Occupational Therapy

Youth who age out of the foster care system and transition to adulthood face challenges that are exacerbated by a history of trauma, severed relationships, and instability of living and educational placements. A review of the literature demonstrates poor outcomes overall for this population. Occupational therapists are positioned to meet the needs that arise during this time; however, a review of emerging roles for occupational therapists is necessary to describe how occupational therapists can best fulfill gaps in current programming. Through a review of the literature and a preliminary mixed-methods study, this paper establishes a direction for the inclusion of …